PREVENTING AND TREATING CHRONIC INFECTIONS SOFTOX SOLUTIONS AS - A NORWEGIAN MEDTECH COMPANY LISTED ON MERKUR, OSE

Page created by Wade Caldwell
 
CONTINUE READING
PREVENTING AND TREATING CHRONIC INFECTIONS SOFTOX SOLUTIONS AS - A NORWEGIAN MEDTECH COMPANY LISTED ON MERKUR, OSE
Preventing and treating chronic infections

                         SoftOx Solutions AS
          A Norwegian MedTech Company listed on Merkur, OSE
PREVENTING AND TREATING CHRONIC INFECTIONS SOFTOX SOLUTIONS AS - A NORWEGIAN MEDTECH COMPANY LISTED ON MERKUR, OSE
Disclaimer
This Presentation has been produced by SoftOx Solutions AS (the “Company” or “SoftOx”), solely for use at the presentation to investors held in connection with the proposed private placement of shares by the Company. This presentation
is strictly confidential and may not be reproduced or redistributed, in whole or in part, to any other person. To the best knowledge of the Company, the information contained in this Presentation is in all material respect in accordance with the
facts as of the date hereof, and contains no material omissions likely to affect its import. However, no representation or warranty (express or implied) is made as to, and no reliance should be placed on, any information, including projections,
estimates, targets and opinions, contained herein, and no liability whatsoever is accepted as to any errors, omissions or misstatements contained herein, arising directly or indirectly from the use of this Presentation. This Presentation
contains information obtained from third parties. Such information has been accurately reproduced and no facts have been omitted that would render the reproduced information to be inaccurate or misleading, as far as the Company is
aware and able to ascertain from the information published by these third parties.

Information in the following Presentation relating to the price at which relevant investments have been bought or sold in the past or the yield on such investments cannot be relied upon as a guide to the future performance of such
investments. This Presentation does not constitute an offering of securities or otherwise constitute an invitation or inducement to any person to underwrite, subscribe for or otherwise acquire securities in the Company or any affiliated
company thereof.

This document contains certain forward-looking statements relating to the business, financial performance and results of the Company and/or the industry in which it operates. Forward-looking statements concern future circumstances and
results and other statements that are not historical facts, sometimes identified by the words “believes”, “expects”, “predicts”, “intends”, “projects”, “plans”, “estimates”, “aims”, “foresees”, “anticipates”, “targets”, and similar expressions. The
forward-looking statements contained in this Presentation, including assumptions, opinions and views of the Company or cited from third party sources, are solely opinions and forecasts which are subject to risks, uncertainties and other
factors that may cause actual events to differ materially from any anticipated development. The Company does not provide any assurance that the assumptions underlying such forward-looking statements are free from errors, nor does the
Company accept any responsibility for the future accuracy of the opinions expressed in this Presentation or the actual occurrence of the forecasted developments. The Company does not assume any obligation, except as required by law, to
update any forward-looking statements or to conform these forward-looking statements to our actual results.

AN INVESTMENT IN THE COMPANY INVOLVES RISK, AND SEVERAL FACTORS COULD CAUSE THE ACTUAL RESULTS, PERFORMANCE OR ACHIEVEMENTS OF THE COMPANY TO BE MATERIALLY DIFFERENT FROM ANY
FUTURE RESULTS, PERFORMANCE OR ACHIEVEMENTS THAT MAY BE EXPRESSED OR IMPLIED BY STATEMENTS AND INFORMATION IN THIS PRESENTATION. THESE FACTORS INCLUDE, E.G., RISKS OR
UNCERTAINTIES ASSOCIATED WITH THE COMPANY’S BUSINESS, SEGMENTS, DEVELOPMENT, GROWTH MANAGEMENT, FINANCING, MARKET ACCEPTANCE AND RELATIONS WITH CUSTOMERS, AND, MORE
GENERALLY, GENERAL ECONOMIC AND BUSINESS CONDITIONS, CHANGES IN DOMESTIC AND FOREIGN LAWS AND REGULATIONS, TAXES, CHANGES IN COMPETITION AND PRICING ENVIRONMENTS, FLUCTUATIONS IN
CURRENCY EXCHANGE RATES AND INTEREST RATES, AND OTHER FACTORS. SHOULD ONE OR MORE OF THESE RISKS OR UNCERTAINTIES MATERIALIZE, OR SHOULD UNDERLYING ASSUMPTIONS PROVE
INCORRECT, ACTUAL RESULTS MAY VARY MATERIALLY FROM THOSE DESCRIBED IN THIS PRESENTATION. THE COMPANY DOES NOT INTEND, AND DOES NOT ASSUME ANY OBLIGATION, TO UPDATE OR CORRECT THE
INFORMATION INCLUDED IN THIS PRESENTATION.

No representation or warranty (express or implied) is made as to, and no reliance should be placed on, any information, including projections, estimates, targets and opinions, contained herein, and no liability whatsoever is accepted as to
any errors, omissions or misstatements contained herein arising directly or indirectly from the use of this document. By attending or receiving this Presentation you acknowledge that you will be solely responsible for your own assessment of
the market and the market position of the Company and that you will conduct your own analysis and be solely responsible for forming your own view of the potential future performance of the Company’s business. This presentation is
incomplete without reference to, and should be viewed solely in conjunction with, the oral briefing provided by the Company and/or its Managers. This Presentation is confidential and is being communicated in the United Kingdom to persons
who have professional experience, knowledge and expertise in matters relating to investments and are “investment professionals” for the purposes of article 19(5) of the Financial Services and Markets Act 2000 (Financial Promotion) Order
2005 and only in circumstances where, in accordance with section 86(1) of the Financial and Services Markets Act 2000 (“FSMA”) the requirement to provide an approved prospectus in accordance with the requirement under section 85
FSMA does not apply. Consequently, the Investor understands that the Private Placement may be offered only to “qualified investors” for the purposes of sections 86(1) and 86(7) FSMA, or to limited numbers of UK investors, or only where
minima are placed on the consideration or denomination of securities that can be made available (all such persons being referred to as “relevant persons”). This presentation is only directed at qualified investors and investment professionals
and other persons should not rely on or act upon this presentation or any of its contents. Any investment or investment activity to which this communication relates is only available to and will only be engaged in with investment professionals.
This presentation and the information contained herein do not constitute an offer of securities for sale in the United States and are not for publication or distribution to U.S. persons (within the meaning of Regulation Sunder the U.S.
Securities Act of 1933, as amended (the “Securities Act”)). The securities proposed to be offered in the Company have not been and will not be registered under the Securities Act and may not be offered or sold in the United States or to
U.S. persons except pursuant to an exemption from the registration requirements of the Securities Act.

This Presentation speaks as of the date on the cover page. Neither the delivery of this Presentation nor any further discussions of the Company with any of the recipients shall, under any circumstances, create any implication that there has
been no change in the affairs of the Company since such date.

2
PREVENTING AND TREATING CHRONIC INFECTIONS SOFTOX SOLUTIONS AS - A NORWEGIAN MEDTECH COMPANY LISTED ON MERKUR, OSE
Risk factors

Investments in shares always entail a high degree of risk. Potential investors should give careful consideration to the specific factors listed below, which is a non-exhaustive list of
certain risks and uncertainties inherent in any investment in securities issued by SoftOx. Each of the risks listed below and other risks and uncertainties described could, if they are
realized, have a material negative effect on SoftOx's business, results of operations, financial position, or future operations, or result in a reduction in the value of SoftOx' shares.
The risks described below are not listed in order of significance and are not the only risks faced by the Group. Before making an investment decision with respect to the shares,
investors should, among other things, carefully consider the risk factors described herein and all information contained in this Presentation. An investment in the shares is suitable
only for investors who understand the risks associated with this type of investment and who can afford to lose all or part of their investment.
The materialization of any of the risk factors listed below or other risk factors could have a material adverse effect on the Company’s business, operating results or financial
condition
•   SoftOx’s business is difficult to evaluate because the Company has a limited history and has generated limited sales revenue/profit since its incorporation. Its past performance does not necessarily
    give a basis for its likely future results.
•   SoftOx's success for the foreseeable future is highly dependent upon the commercialization of its product candidates. No assurance can be given as to whether or when these will be successfully
    developed or commercialized or will generate revenues or whether the Company will be able to develop additional product candidates
•   In the event the product candidates are commercialized, SoftOx is dependent on developing relationships with business partners, distributors and key customers or licensees, including attaining
    sufficient market acceptance of its product candidates among physicians, patients, healthcare payers or the medical community.
•   SoftOx's results of operations may be adversely affected by changes in the pricing environment and/or regulations for medical products
•   SoftOx is dependent on its key personnel and employees and its ability to recruit skilled personnel for future operations
•   Product development may not deliver expected results and may not be indicative of results in later stage trials, or may not result in the Company's pursuit of further clinical trials
•   Any failure or delay in completing clinical trials for any of the Company's product candidates may prevent SoftOx from obtaining regulatory approval or commercializing product candidates on a
    timely basis, or at all, which would require the Company to incur additional costs which may in turn delay receipt of any product revenue
•   SoftOx may need to change the clinical programme to meet various health authorities' requirements, as well as to adapt to results from on-going clinical trials and other product improvement
    metrics. Such change is likely to influence the overall capital requirement and revenue flow of the Company, including the costs and time required to complete the clinical programme
•   SoftOx may become subject to burdensome government regulations affecting the industry, which could directly affect the Company's products and product development, which will in turn affect the
    Company's overall capital requirement, revenue flows and time to commercialization.
•   SoftOx may not obtain required marketing authorization from health authorities (domestic og multi-national (EU, etc.) for its products, which is required in order to enter the commercial phase.

     3
PREVENTING AND TREATING CHRONIC INFECTIONS SOFTOX SOLUTIONS AS - A NORWEGIAN MEDTECH COMPANY LISTED ON MERKUR, OSE
Risk factors cont.

•   SoftOx may face competition from new as well as from known competing products. If the Company is unable to compete effectively, in terms of its products or prices, it may have to alter the design
    of its clinical programmes, its overall costs may increase and the Company may be unable to successfully commercialize its products or achieve the expected margins.
•   The Company could become subject to liability claims in connection with clinical trials or otherwise in connection with the use or misuse of the Company's products after commercialization
•   SoftOx expects to continue to incur substantial expenses related to further research and development of its product candidates, personnel costs, commercializing, support of patent rights, as well
    as administrative functions. It is expected that the currently available funds will not be sufficient to meet the Company's needs or unexpected factors could arise that could increase the Company's
    need for capital, and the Company expects that it will need to seek additional funding bay way of debt or equity capital. The Company may not be able to obtain the required funding or may not be
    able to do so at acceptable cost. A future equity raising will dilute the ownership interest of existing shareholders.
•   As of today, SoftOx has several projects that are partially funded by public grants. There is no assurance that SoftOx will continue to have grant applications approved in the future, on the same
    terms or at all.
•   SoftOx’s markets are undergoing rapid technological change, and the Company’s future success will depend on its ability to meet the changing needs of the industry
•   SoftOx faces risks inherent to international expansion and operating in multiple jurisdictions
•   SoftOx is dependent on its intellectual property rights and the Company’s methods of protecting its intellectual property rights may not be adequate
•   SoftOx faces risks of claims for intellectual property rights infringement from third parties
•   SoftOx depends in large part on its ability to protects its exiting patents and to obtain new patents, maintain trade secret protection, protect its trademarks and operate without infringing on the
    proprietary rights of third parties. Third parties may have filed patent applications, or hold issues patents, relating to products or processes competitive with those that have been developed by the
    Company, and this may impair the Company's ability to do business in a particular area. There can be no assurance that the Company's pending patent applications will be approved, either in a
    timely manner or at all, that the Company will develop additional products that are patentable, that any patents issued by to the Company will provide the Company with competitive advantages or
    will not be challenged by any third parties, that the patents or others will not prevent the commercialization of products incorporating the Company's methods, or that existing or former employees,
    consultants or partners of the Company will not allege that they have rights to the Company's intellectual property. Furthermore, there can be no assurance that other companies will not
    independently develop similar products, duplicate or reverse engineer any of the Company's products or, if patents are issued to the Company, design around the Company's patents. Filed patents
    that are not granted may cause the development program can be terminated because of lack of market protection
•   In the ordinary course of business, SoftOx is subject to credit risk in its contractual relationships with various parties
•   SoftOx may not be able to earn the planned revenue or to raise sufficient working capital to fund its operations until its business generates positive cash flow
•   SoftOx may face challenges in production of the products which may delay timelines, increase costs or stop the development of the product(s)

     4
PREVENTING AND TREATING CHRONIC INFECTIONS SOFTOX SOLUTIONS AS - A NORWEGIAN MEDTECH COMPANY LISTED ON MERKUR, OSE
Highlights

    SoftOx has discovered a unique combination of natural chemicals proven to
         have superior antimicrobial effect compared to today’s solutions*

• First clinical trial in humans completed successfully

• Secured distribution agreements for hand disinfection (Kiiltoclean/Antibac) and
  animal health (VESO)

• Cooperation with globally leading universities, and research teams

• Intends to raise NOK 40-75m in equity to finance studies and corporate development

                                      Removing infections – critical for wound healing
*Company information; Filter grown Pseudomonas aeruginosa and Staphylococcus aureus embedded in biofilm

5
PREVENTING AND TREATING CHRONIC INFECTIONS SOFTOX SOLUTIONS AS - A NORWEGIAN MEDTECH COMPANY LISTED ON MERKUR, OSE
Company background

1                      •   Extensive experience from animal husbandry in the European agricultural sphere
                       •   Key observations:
    Background               » 20% of cows suffer from chronic bacterial infections1
                             » Antibiotic treatments are mostly ineffective in biofilm infections and cause bacterial resistance
                             » Hypochlorous acid is also used, but is generally unstable and with limited effect

2                      •   Hypochlorous and acetic acid have long histories of use as antiseptics 2
                       •   In collaboration with leading researchers in Lund, SoftOx started its research in 2008
     Research
                       •   The concept was further developed in 2016, supported by world leading professors at the Copenhagen University
                       •   By combining hypochlorous acid with acetic acid, SoftOx has created a best-in-class non-toxic and clinically proven topical antiseptic

3
                       •   Intellectual property is protected by a large and strong patent family; first patent granted in 2012
      Patents          •   20 patent filings; Important patents like composition method and product, NPWT acetic acid and sodium diacetate are granted,
                           others like the biofilm removal still pending.

     1) https://albertamilk.com/ask-dairy-farmer/percentage-cows-suffer-mastitis/
6    2) Kramer A. Consensus on Wound Antisepsis. Skin Pharmacol Physiol 2018;31:28–58 Update 2018
PREVENTING AND TREATING CHRONIC INFECTIONS SOFTOX SOLUTIONS AS - A NORWEGIAN MEDTECH COMPANY LISTED ON MERKUR, OSE
Key personnel
       Geir H. Almås, CPA – Chief Executive Officer & Founder                    Hans Jørgen Holum - CEO SoftOx Denmark & Head of Animal Health
       •   Extensive experience from business development                        •   Over 20 years’ experience with international sales and management
                                                                                     positions
       •   Previously PwC and KLP Asset Management
                                                                                 •   MSc in Business Administration from Copenhagen Business School
       •   MSc Business Administration (BI) and Chartered
           Accountant (NHH)

       Glenn Gundersen, PhD – Director Medical Affairs                 Advisory Board
       •   Over 25 years of experience from the pharmaceutical                   Thomas Bjarnsholt, PhD
           industry, immunology/inflammation and oncology
                                                                                 •   Professor of bacterial and fungal biofilms in chronic infections,
       •   Previously Bristol-Myers Squibb Norway, Biotec                        •   Ranked as the world leading scientist on biofilms
           Pharmacon, Biogen Norway, Roche
                                                                                 •   Co-inventor of the technology with financial rights, see Patent and IP
       •   PhD Molecular and Cellular Biology (University of Oslo)               •   Works for the company as a consultant
                                                                                 •   Member of the Global Wound Biofilm expert panel
       Magnus M. Fazli, PhD – Head of Research
       •   More than ten years of experience in biofilm research                 Klaus Kirketerp-Møller, MD
                                                                                 •   Since 2007, mainly focused on research on chronic wounds and bacterial biofilms
       •   Specializing in chronic wound biofilms, biofilm formation
           and antibiotic tolerance                                              •   Co-inventor of the technology with financial rights, see Patent and IP
                                                                                 •   Works for the company as a consultant
       •   PhD Medical Microbiology (University of Copenhagen),
           and MSc Bio-entrepreneurship (Copenhagen Business                     •   MD at Copenhagen University and specialist in orthopedic surgery, and chair of
           School)                                                                   Nordic Diabetic Foot Task Force

       Hans Petter Grette – Sales and Marketing Director
                                                                                 Pål Rongved, PhD,
       •   20 years marketing and executive management                           •   Professor Pharmaceutical institute, University of Oslo
           background from Lilleborg (Orkla)
                                                                                 •   Member of The Norwegian Board of Appeals for Industrial Property Rights
       •   MSc Business Administration (BI) and AGSIM                            •   Works as consultant for the company
           International Management (Arizona, U.S.)

7
PREVENTING AND TREATING CHRONIC INFECTIONS SOFTOX SOLUTIONS AS - A NORWEGIAN MEDTECH COMPANY LISTED ON MERKUR, OSE
Key partners and contributors

      Strong international support from key opinion leaders and institutions

8
The challenge

    Antimicrobial resistance

    The ability of bacteria and other microorganisms to resist
    the effects of an antibiotic/antiseptic to which they were
    once sensitive

    Biofilm resistance

    Aggregated bacteria often covered by slime (biofilm matrix),
    acting as a fortress and protect bacteria from attacks such as​
    antibiotic treatment and the immune system

              SoftOx reinforces nature’s ability to fight antimicrobial resistance (AMR)

9
A unique combination

                          Hypochlorous acid                                                                            Acetic acid
     •   The body’s natural antimicrobial agent                                           •   Long history of use as an antiseptic

     •   Widely used but inherently unstable                                              •   Potentially effective deep within the wound bed

     •   Instantaneous microbial killing effect                                           •   Good stability

     •   Superior safety profile in efficient concentrations                              •   Retains antimicrobial activity despite contact with organic
                                                                                              material (e.g. blood, tissue)
     •   Moderate antiseptic effect alone
                                                                                          •   Widely used as food additive
     •   Well tolerated, e.g. drinking water
                                                                                          •   Moderate antiseptic effect alone

                                               The SoftOx Technology – the combination effect
     •   The combination works synergistically, and shows superior effect on microbes
     •   Does not induce resistance in bacteria. Effective in antibiotic-resistant bacteria (e.g. MRSA)
     •   Can be customized for specific purposes;
           » Higher concentration of acetic acid increases the formula’s antimicrobial potency (biofilm eradication)
           » Lower concentration of acetic acid yields a softer sting when applied to wounds (disinfectant, wound irrigation)
     •   Effectively stabilizes hypochlorous acid

10
SoftOx works both on wound surface and beneath wound bed

The SoftOx Wound Model                                              Success criteria for removal of infections

                                                                    ▪ Penetrate and kill microbes within the biofilm
Prevent infections

                                                                    ▪ Penetrate and eradicate biofilm also within the wound bed

                                                                    ▪ Not cause development of microbial resistance to the products

                                                 Penetrates wound   ▪ Well tolerated
                                                 bed

Infection remover
                     Kills bacteria inside biofilm

                                Removal of infections → critical for wound healing

11
Pre-clinical experiments show promising effects

                   In vitro in the lab                                              Animal models
                   ✓ A safe disinfectant with a unique ability to remove hard-to-   ✓    No negative influence on wound healing
                        treat microbes embedded in biofilm
                   ✓ Appears to be significantly more effective than competitors    ✓    Well-tolerated in full-depth wounds
SoftOx                  against P. aeruginosa and S. aureus, the most common        ✓    Significant bacterial reduction in wounds
                        bacteria in chronic wounds
                   ✓ Did not induce resistance or cross-resistance development
                        towards antibiotics

                              Effectiveness on Pseudomonas aeruginosa1                  Effectiveness on Staphylococcus aureus1

 Effect
   on
bacteria
   in
biofilms

12   1) Company information
                              SoftOx                                                 SoftOx
Multiple areas of use – current focus on hands and wounds

                                    Humans                                    Animals

     Chronic otitis media, chronic                Chronic and acute wounds;    Mastitis
     sinusitis, chronic tonsillitis, dental       leg wounds in particular
     plaque, pre and post operative

     Peripheral vascular catheters,
     stomi, urinary catheters and urinary
     tract infections

             Hand disinfection, eczema and
             wounds

               Orthopedic implants, prosthetic
               joints and chronic wounds

        SoftOx is effective against bacteria (also in biofilms), virus, fungus and spores

13
Conducted preclinical and clinical studies

                                                                                                                                                                     Cost
Study                          Objectives                                            Results                                                                                Completed
                                                                                                                                                                    (NOK)

                               Costerton Biofilm Center: Multiple experiments        Superior antimicrobial effect documented for a range of concentrations
                               on surface biofilms to define optimal                 (HOAc: 0.25%-4%, HOCl: 100-1000ppm). Tests showed significantly
Laboratory in vitro                                                                                                                                                  2m       2018
                               concentrations of SOX. Comparison with                better killing than all competitors. Pseudomonas aeruginosa seems
                               competitors.                                          more sensitive than Staph aureus.

                               Dept Veterinary Clinical Sciences, Univ of
Animal (Horses)                                                                      SOX exerted no harmful effects and was well tolerated. Wound score
                               Copenhagen: To test SOX in established
Wound healing, infected                                                              improvement. Significantly reduction of S.aureus (day 12 and 20).              0.6m     Jul 2018
                               biofilm-infected horse legs to explore wound
wounds                                                                               Proves that SOX works in infected wounds in vivo. (Proof of Concept)
                               scores/healing, antibacterial effects and safety.

                               CITOX Labs. GLP study to demonstrate
Animal (minipigs); wound                                                             All SOX-formulations were documented to be well tolerated, i.e. did not
                               tolerability and toxicity of SOX on wound                                                                                            0.8m    Aug 2018
healing                                                                              impede wound healing.
                               healing.

                                                                                     All four SOX formulations confirmed to be well tolerated, limited irritation
Animal (minipigs); wound       RTC (Italy): Preliminary test of 4 SOX for toxicity
                                                                                     in wound tissue. These results will be further exploited in the main study     0.4m    Sep 2019
healing                        (higher doses than before to approach MTD).
                                                                                     (Q2-2020).

                                                                                     SWIS was confirmed to be safe and well tolerated. It also showed
                               Pilot study (first in human) to explore SWIS
                                                                                     antimicrobial effects and good wound healing results. User and patient
                               safety and performance in human patients with
Clinical study (SWIS-01)                                                             feedback was favorable. The pilot study will serve as an important             10m     Sep 2019
                               Split Skin Graft Donor sites (acute wound
                                                                                     source for optimal design of next study (SWIS-02). (Proof of Concept in
                               model), n=12.
                                                                                     humans)

     14        SOX: SoftOx test solutions
Human pilot study on safety in 12 patients with acute wounds
       Primary Objective

       The primary objective of this clinical investigation is to document safety of the SoftOx Wound Irrigation Solution when used on split skin graft donor
       sites1 in an adult population

       Secondary Objectives

       The secondary objectives are to document the SoftOx Wound Irrigation Solution capability to provide clean wounds for optimal reepithelization (including
       microbiological control), and subject/user satisfaction when used on split skin graft donor sites in an adult population

       Results: No serious adverse events | Well tolerated | Bacterial reduction confirmed | Excellent wound healing

                                                              Day 0                                     Day 21, 100% healed

                                                           Study confirms safety and bacterial reduction
       15
1. Weingart D, Stoll P.(1993): Eur J Plast Surg 16:22-25
Clinical studies in progress/to be conducted

                                                                                                                                                                  Cost   Expected to
Study                            Objectives
                                                                                                                                                                 (NOK)    be ready

Animal (minipigs); MAX           RTC: Local tolerance, systemic effects and pathology in minipigs after repeated dosing (continuously for 28 days) with
                                                                                                                                                                  4m      Q2-3 2020
dose; wound healing              increasing SOX-strengths. Aiming to achieve maximal tolerable dose.

Biocide (SafeDes) Skin           Clinical testing of SafeDes hand disinfectant on healthy and experimentally induced eczema with respect to skin barrier
                                                                                                                                                                 1.5m      Q3-2020
Tolerability                     functions. Comparison with alcohol-based products.

Clinical Study Medical           Pivotal, confirmatory, comparative trial in subjects with superficial (blister) and full depth (biopsy) wounds to demonstrate            Late 2020 (if
                                                                                                                                                                 10m
Device (SWIS-02)                 safety and performance, with focus on wound healing. n = est. 40 (tbd).                                                                 start in Q2-20)

                                 To test drug candidates in relevant patient population (infected chronic wounds), dose escalation, safety and efficacy
Phase I / II drug study                                                                                                                                          25m      TBD, 2021
                                 measures (i.e. proof of concept). n = test. 30 (tbd).

Phase III drug                   Confirmatory study in target population (chronic wounds). Preferentially together with a partner.                               >50m         TBD

      16         SOX: SoftOx test solutions
Product development plan

1
                                                   Preclinical/EN   Application market   Market introduction   Voluntary post
     Hand Disinfection     In vitro/EN studies
                                                      studies            approval          Nordic region       market studies

    SafeDes                                                                                   1H2020               2020

2
                                                   Preclinical/EN                                              Voluntary post
            Animals        In vitro/EN studies                          Pilot/PoC        Market introduction
                                                      studies                                                  market studies

    Infection prevention                                                                       1H2020               N/A

    Infection treatment                                                  1H2020                2H2020             2H2020

                                                   Preclinical/EN                                                  Market
      Device & Drug                                                     Pilot/PoC           Pivotal/phase 3
                           In vitro/EN studies        studies                                                   introduction

3    SWIS                                                                                       2020             2021/2022

4    Infection treatment                               1H2020           2020/2021           To be decided       To be decided

                                         Completed studies
       17
Product portfolio
                       Biocide expected to be           Medical Device
SoftOx platform
                             ready for                 Expected ready for          Medical Drug
  developed
                           market in 2020                market in 2021
                                  1
                          Hand disinfectant
                        Ready for Nordic market                   3

                                                       Wound Irrigation Solution
   SoftOx
                                                       • Acute wounds
 Technology
                                                         (Surgical/Burns/Cuts)
    base
                                                       • Chronic wounds                     4

                                                                                    Infection Remover
                                                                                     Chronic Wounds
                                                                                   “Biofilm Eradicator”
                                       2
                                 Animal health
                          Ready for Norwegian market

                  Product development plan based on the SoftOx platform
18
Go-to-market strategy: 1                                                                                  Hand disinfection

Sales channels and target market                                                                                                                           Healthcare savings and revenue scenario
                                                                                                                                                         USDm
▪    Sales through distribution partners
                                                                                                                                                          600
        ▪ Nordics/Baltics: Kiiltoclean (Antibac), market leader in the                                                                                                                                                                       576
             region (est. >50% market share)                                                                                                              550
        ▪ Rest of Europe: In progress
                                                                                                                                                          500
▪    Premium product, aimed at healthcare workers
▪    25-50%4 of healthcare workers (HCW) have skin problems on their                                                                                      450
     hands
                                                                                                                                                          400
▪    Does not cause dry skin with same antimicrobial effect as alcohol
▪    Planned to be made available in pharmacies, sold directly to large                                                                                   350
     clients and through consumer channels
                                                                                                                                                          300

Market size                                                                                                                                               250
                                                                                                                                                                                                                               257

                                                                                                                                                          200
              18.8 million HCWs in the EU and the US 1,2
              Whereof 13.3 million have irritated skin and eczema1
                                                                                                                                                          150
                                                                                                                                                                                                                                                   121
                                                                                                                                                                                                                    110
                                                                                                                                                          100
              USD 1,0803                                                                                                                                                                                                             54
                                                                                                                                                                                                         52
              Value of effective prevention of hand eczema per HCW                                                                                          50
                                                                                                                                                                                           17                             23
                                                                                                                                                                       5                           4          11
                                                                                                                                                                              1
                                                                                                                                                             0
                                                                                                                                                                        2020                 2021          2022       2023      2024           2025
              USD 20.2           bn3                                                                                                                                                                     Savings   Revenue
              Value of hand health market in Europe and the US
                                                                                                                                                            Market share assumptions for each market entry: Y1 (1%), Y2 (2%), Y3 (3%), Y4 (5%), Y5 (7%)

      1)   ec.europa.eu/eurostat/Healthcare_personnel_statistics_-_nursing_and_caring_professionals 2015 & Presentation Prim. Univ.-prof Dr. Robert Strohal, Hospital Fledkirch
      2)   Center for Disease Control and Prevention (CDC) homepage https://www.cdc.gov/niosh/topics/healthcare/default.html
19    3)   MedValue+, Radbound University Medical Center and Exite International’s Panel of 11 KOL/experts – “2019 Health Technology Assessment; SoftOx Hand-wash for Health Care Workers with Eczema”
      4)   World Health Organization – Guidelines on Hand Hygiene in Health Care
Go-to-market strategy: 2                                                                                    Animal wound- and disinfection market

Sales channels and market entry                                                                                            Animal care revenue scenario – gross market
                                                                                                                          USDm
▪    First distribution agreement with VESO, a strong distributor to
                                                                                                                           44                                             43
     the Norwegian veterinary healthcare market
                                                                                                                           42
                                                                                                                           40
▪    Planned launch of first products in 2020                                                                              38
                                                                                                                           36

▪    Will seek strong strategic partnerships for entry in the rest of                                                      34
                                                                                                                           32
     Europe and the US
                                                                                                                           30
                                                                                                                           28
▪    Large potential for future line extensions                                                                            26
                                                                                                                           24
                                                                                                                                                               22
                                                                                                                           22

Market size                                                                                                                20
                                                                                                                           18

              Dairy cows: 23 million (EU) & 9.5 million (US)                                                               16
              20-35%1  and         47-71%2
                                     reported prevalence of clinical mastitis across                                       14
              EU. Est. cost per case varies from USD 70-300 3. Est. cost in EU -                                           12                           11
              as high as USD 1.2-2 bn                                                                                      10
                                                                                                                            8
              Cats and dogs: 160 million (EU) & 185 million (US)                                                            6                   5
              EU companion animal wound treatment market incl horses is est. at                                             4            3
              USD 221 million with a CAGR of 6.5%4
                                                                                                                            2
                                                                                                                                 0.2
                                                                                                                            0
              Horses: 6,4 million (EU) & 9 million (US)                                                                          2020   2021   2022    2023   2024       2025
              6-9 times higher spending on horse wound treatment than on cats
              and dogs4

      1)   https://efsa.onlinelibrary.wiley.com/doi/abs/10.2903/j.efsa.2009.1143r
20    2)
      3)
           https://ec.europa.eu/eip/agriculture/en/content/mastitis-control-organic-dairy
           https://www.independent.ie/business/farming/dairy/mastitis-cases-can-cost-up-to-300-per-cow-35338174.html
      4)   FIOR – Europe animal wound care market report 2019-2026
Go-to-market strategy: 3 Medical device (SWIS) 4 Infection remover (drug)

Market access and sales strategy                                                                                                                                     Infection prevention market size2
▪    To secure market access                                                                                                                                                                         Million acute wounds annually
       ▪ Clinical development plan                                                                                                                                                                                                   Traumatic wounds
              ▪ Excite International                                                                                                                                                                                             50.0
       ▪ KOL – University of Copenhagen                                                                                                                                                                                                        Burns
                                                                                                                                                                           ~ USD 2 bn                                                   5.0
       ▪ Reimbursement
                                                                                                                                                                         Annual market size
       ▪ Regulatory
              ▪ Infection prevention medical device
              ▪ Infection remover – drug                                                                                                                                                                               250.0
▪    Partnering to secure total wound care solution and distribution                                                                                                                                 Surgical wounds

External health economy assessment report                                                                                                                            Infection remover market size3
▪    Est. cost reduction by using SoftOx-technology on venous leg                                                                                                                                   Million chronic wounds annually
     ulcers (VLU) and diabetic foot ulcers (DFU) below1:
                                                                                                                                                                                                 Venous leg ulcer
                                                                                                                                                                                                                      9.7
             Treatment                                                       Prevention                                                                                   ~ USD 11 bn                                                           Other chronic wounds
           VLU – USD 4,969                                                   VLU – USD 643                                                                               Annual market size                                             16.2

           DFU – USD 2,030                                                   DFU – USD 2,692

                                                                                                                                                                                                                     10.0
                                                                                                                                                                                              Diabetic foot ulcers
                                                                                                                                                                                                                               4.5
                                                                                                                                                                                                                                Pressure ulcers

      1)   “MedValue health economic decision modelling; Decreased time to ulcer healing and prevention of clinical infections in diabetic foot and venous leg ulcers”
21    2)
      3)
           Wound Irrigation Solutions Market to 2027 - Global Analysis & Forecast by Product, End-user and Geography - ResearchAndMarkets.com
           Wound prevalence and wound management, 2012-2020, Med Market Dilligence, 2013
Existing products shall cover overheads and indirect costs

1                                      Hand hygiene - Antibac
▪   Distribution agreement with Kiiltoclean – the market leader in disinfection for healthcare industry
▪   Antibac-brand – strong brand recognition
▪   Premium non-alcoholic antimicrobial hand disinfection
▪   Provides access to pharmacies and whole stores
▪   Targeted sales channels: online stores, direct sales to large corporates and non-medical chain stores          Revenue from sale of hand
                                                                                                                disinfectant and wound-solution
➢ Expected market entry in 1H 2020.                                                                                 for animals is intended to
                                                                                                                      finance further clinical
2                                                                                                                          development
                                        Animal health - VESO
▪ Market leader on pharmaceutical products for animal and veterinarian industry in Norway
▪ Sale and distribution of SoftOx through VESO’s platform incl. veterinarians, webshop and pharmacies
▪ Intentional agreement for future JV on further product development for aqua culture and farming industry

➢ Expected market entry in 2H 2020.

3                               Wounds - medical device & drug
                                                                                                                Clinical trials are intended to be
▪ Clear plan to conduct further clinical trials to achieve classification as medical device and medical drug,
                                                                                                                conducted to achieve status as
  such as toxicity tests and RCT-studies
                                                                                                                    medical device and drug
➢ Expected market entry in 2021 (US) as a medical device.

    22
Intended use of proceeds – cash positive on operations

                    1     Enter the hand disinfectant market – NOK 10 mill

                    2     Enter the animal health market – NOK 8 mill

                    3     Increase production capacity – NOK 2 mill

                          Infection remover – NOK 25 mill
                    4     ▪ Conduct phase 1 and phase 2 trials (PoC) on infection remover wounds
                             (medical drug)

                          Finish clinical development SWIS – NOK 10 mill
                    5     • Conduct confirmative study (medical device)

                          General corporate purposes – NOK 20 mill
                    6     • including repayment of NOK 3 in debt to shareholders and transaction fees

23
Key assumptions for market penetration – first two products*

        Targets                                                   2020                         2021                        2022          2023             2024          2025
                                                                                                 Hand disinfection
        No. of users                                              3,500                     14,000                       37,000           75,000        180,000      360,000
        Target market share                                        0.5%                            2%                       1.3%            1.2%           2.1%         4.2%

        Markets                                        N, S, DK, IS                 N, S, DK, IS                 N, S, DK, G         N, S, DK, G,   N, S, DK, G,          EU
                                                                                                                                            UK, F   UK, F, I, SP

                                                                                                          Animal
        Target market share                                           4%                       0.6%                         0.7%            3.1%           3.1%         6.2%

        Markets                                                   N, DK                     Europe               US, Europe          US, Europe     US, Europe     US, Europe

24   *)First wound cleanser for humans expected to be ready for market in 2021 – Key assumptions for market penetration to be done
Revenue target scenario

Revenue scenario based on following key assumptions                     Preliminary sales projections
                                                                      NOKm
• First two years’ budget income are independent of costs             1,400                                                  1,367

                                                                      1,300

• Profit sharing with pilot partners assumed initially, later 60/40   1,200

                                                                      1,100

• Price estimated to be 10% of target costumers cost savings          1,000

                                                                       900

• Market approval according to company’s aspirations                   800
                                                                                                                      688
                                                                       700

• For hand disinfection, we target the 25% with the most               600

                                                                       500
     severe hand eczema                                                400
                                                                                                               313
                                                                       300
• Revenue from acute and chronic wounds products not                   200                    156
                                                                       100            72
     included in this scenario                                                 20
                                                                         0
                                                                              2020   2021     2022             2023   2024   2025

                                                                                                     Revenue

                                      Potential for solid gross- and EBITDA margins

25
Investment proposition

           $33B+                                                                                     +80%             Proven effect               2021
           Large market                                                                              Gross margin     Successful clinical trial   Ambition of cash
           opportunity1                                                                              target2          in humans                   positive operations

           Strong patent                                                                      Leading distribution   Collaboration with             No antimicrobial
           family protecting IP                                                               partners               world leading scientists       resistance

     1)   Calculated by adding the potential hand health, infection prevention and the infection remover market
26   2)   Company estimate
Thank you for your attention!
Index and References
You can also read